Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.97 / $276.97 / $276.97	Facility		$276.97	$276.97	$276.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.87 / $255.66 / $294.00	Professional		$144.87	$255.66	$294.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.85 / $250.85 / $1,076.30	Professional		$250.85	$250.85	$1,076.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.52 / $329.40 / $411.75	Professional		$263.52	$329.40	$411.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $58.20 / $590.22	Facility		$38.04	$58.20	$590.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $53.72 / $708.26	Professional		$29.10	$53.72	$708.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $209.52 / $290.14	Facility		$209.52	$209.52	$290.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.09 / $209.52 / $369.90	Professional		$178.09	$209.52	$369.90
United Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $214.08 / $288.14	Professional		$126.60	$214.08	$288.14